| NPI | 1619166865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE SWED Nurse Case Manager 760-529-9464 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 376549) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |